HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
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HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.1.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions

: Reportability Response Composition - One Condition/One PHA example - JSON Representation

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{
  "resourceType" : "Composition",
  "id" : "composition-rr-one-cond-one-pha",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition composition-rr-one-cond-one-pha</b></p><a name=\"composition-rr-one-cond-one-pha\"> </a><a name=\"hccomposition-rr-one-cond-one-pha\"> </a><a name=\"composition-rr-one-cond-one-pha-en-US\"> </a><p><b>Composition Version Number</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href=\"PractitionerRole-practitionerrole-henry-seven.html\">PractitionerRole Primary Care Clinic/Center</a></p><p><b>identifier</b>: <code>http://acme.org/identifiers</code>/RR12347</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 88085-6}\">Reportability response report Document Public health</span></p><p><b>encounter</b>: <a href=\"Encounter-encounter-eicr-eve-everywoman-outpatient.html\">Ambulatory Office Visit</a></p><p><b>date</b>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a></p><p><b>title</b>: Reportability Response - One Condition/One PHA example</p><p><b>custodian</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber",
      "valueString" : "1"
    },
    {
      "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension",
      "valueReference" : {
        🔗 "reference" : "PractitionerRole/practitionerrole-henry-seven"
      }
    }
  ],
  "identifier" : {
    "system" : "http://acme.org/identifiers",
    "value" : "RR12347"
  },
  "status" : "final",
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "88085-6",
        "display" : "Reportability response report Document Public health"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-ecr-eve-everywoman",
    "display" : "Eve Everywoman"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/encounter-eicr-eve-everywoman-outpatient",
    "display" : "Ambulatory Office Visit"
  },
  "date" : "2018-07-19T04:09:06Z",
  "author" : [
    {
      🔗 "reference" : "Organization/organization-ecr-health-authority-west",
      "display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
    }
  ],
  "title" : "Reportability Response - One Condition/One PHA example",
  "custodian" : {
    🔗 "reference" : "Organization/organization-ecr-health-authority-west",
    "display" : "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999"
  },
  "section" : [
    {
      "title" : "Reportability Response Subject Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "88084-9",
            "display" : "Reportable condition response information and summary Document"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>\n            </div>"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension",
          "extension" : [
            {
              "url" : "eICRProcessingStatus",
              "valueReference" : {
                🔗 "reference" : "Observation/observation-rr-eicr-processing-status",
                "display" : "eICR was processed - with a warning"
              }
            },
            {
              "url" : "eICRValidationOutput",
              "valueAttachment" : {
                "contentType" : "text/html",
                "data" : "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"
              }
            }
          ]
        },
        {
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension",
          "valueDateTime" : "2018-07-18T04:09:06Z"
        }
      ],
      "title" : "Electronic Initial Case Report Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "88082-3",
            "display" : "Initial case report processing information Document"
          }
        ]
      },
      "entry" : [
        {
          🔗 "reference" : "Bundle/bundle-eicr-document-zika",
          "identifier" : {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe"
          },
          "display" : "bundle-eicr-document-zika.xml"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "urn:oid:2.16.840.1.114222.4.5.274",
                "code" : "RRVS17",
                "display" : "Immediate action required"
              }
            ]
          }
        }
      ],
      "title" : "Reportability Response Summary Section",
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "55112-7",
            "display" : "Document summary"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>\n                    <b>Summary:</b>\n                </p>\n                <p>Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &quot;Zika virus disease (disorder)&quot; is reportable to &quot;State\n                    Department of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. <br/>\n                    <br/>\n                </p>\n                <p>\n                    <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>\n                </p>\n                <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </p>\n                <ul>\n                    <li>\n                        <p>Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action\n                            requested)</p>\n                    </li>\n                    <li>\n                        <p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) </p>\n                    </li>\n                    <li>\n                        <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) </p>\n                    </li>\n                    <li>\n                        <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Action requested) </p>\n                    </li>\n                    <li>\n                        <p>Forms for submitting further Zika laboratory testing ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx\">Link</a> - Information only)\n                        </p>\n                    </li>\n                    <li>\n                        <p>Treatment guidance ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) </p>\n                    </li>\n                    <li>\n                        <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) </p>\n                    </li>\n                </ul>\n                <p>Additional Resources (Information only):</p>\n                <ul>\n                    <li>\n                        <p>Control and prevention information for providers ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Detailed condition references ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Prevalence in State ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>CDC webpage ( <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>Patient information factsheet ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) </p>\n                    </li>\n                    <li>\n                        <p>State Resident information ( <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) </p>\n                    </li>\n                </ul>\n            </div>"
      },
      "entry" : [
        {
          🔗 "reference" : "Observation/observation-rr-summary",
          "display" : "Reportability Response Summary"
        },
        {
          🔗 "reference" : "Observation/observation-rr-relevant-reportable-condition-observation",
          "display" : "Relevant reportable condition: Zika"
        }
      ]
    }
  ]
}